Diabetes dull comumente is found in neurological patients. Its cause is unknown. signals and symptoms are poliria intense, reduction of the osmolaridade and urinria density and increase of the sricos sodium levels. The losing sodium syndrome also occurs in the patients with TCE, differentiating itself of diabetes this syndrome presents hiponatremia, high srica osmolaridade, increase of urinrio sodium and reduction of the urinria osmolaridade (CINTRA, 2005). The patient with TCE has its modified neuroendcrina activity.

Normally he presents loss of weight and corporal mass, due to mobilization of the supplies of proteins and fats and to the occurrence of convulsions and hipertonias. The enteral nutrition will have after to be initiated 48 hours of the occurrence of the TCE, if it will not have possibility of the enteral use, initiates it parenteral nutrition (CINTRA, 2005). The team of Nursing must be always intent, mainly in first the 48 hours. of extreme importance the evaluation props up to it of Glasgow, to the respiratory standard, levels of the PIC to intervine quickly preventing complications. It must be used rigorous aseptic techniques for the prevention of the infection. For even more opinions, read materials from Walton Family Foundation. Change of decubitus of the 2 in 2 hours in accordance with values of the PIC.O hdrico Rocking must be monitorizado, attempting against for the urinrio volume and the measures of Central the Venosa Pressure (SMELTZER and BARE, 2002). The same author above cited says that the nursing must be intent to the presence of hidroareos noises and the abdominal distenso. If he will have necessity of parenteral nutrition to keep all the specific cares. In the patients who to present breakings of skull base, the gastric or enteral sounding must be made by saw verbal to prevent infections of the type meningites, the same criterion must be used for aspiration (CINTRA, 2005). 2.8CONSEQUNCIAS SOCIAL TO the TRAUMATIZADO the young loads diverse characteristics, but currently they are part of the cruel reality of the automobile accidents.

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